MENTAL HEALTH CLINIC OF ELIZABETH, NJ INCORPORATED (NPI# 1134627979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134627979 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH CLINIC OF ELIZABETH, NJ INCORPORATED |
| Practice Address |
520 Westfield Ave Elizabeth NJ 07208-1658 |
| Mailing Address |
520 Westfield Ave Ste 303 Elizabeth NJ 07208-1646 |
| Practice Telephone | 9084668484 |
| Practice Fax Number | 9084668483 |
| Mailing Telephone | 9084698483 |
| Mailing Fax Number | 9084698483 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | URMI PARIKH (OFFICE MANAGER) |
| Authorized Official Telephone | 7323223454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00477000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
520 WESTFIELD AVE |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07208-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437144391 | Gautam C Surana | Emergency Medicine | 520 Westfield Ave, Suite 305, Elizabeth, NJ 07208-1658 | 2005-09-16 |
| 1710366117 | Emmanuel Lopez | Driver | 520 Westfield Ave, Elizabeth, NJ 07208-1658 | 2015-05-19 |
| 1801055447 | Manish Patel Md PC | Internal Medicine | 520 Westfield Ave, Suite 306, Elizabeth, NJ 07208-1658 | 2008-06-09 |
| 1659542983 | Frank De Pinho | Dentist | 520 Westfield Ave, Suite 209, Elizabeth, NJ 07208 | 2008-03-14 |
| 1841409752 | Miracle Invalid Coach | Secured Medical Transport (VAN) | 520 Westfield Ave, Suite 203, Elizabeth, NJ 07208-1658 | 2007-05-21 |
| 1154533594 | Deena Invalid Coach, Inc. | Non-emergency Medical Transport (VAN) | 520 Westfield Ave, 202a, Elizabeth, NJ 07208-1658 | 2007-05-06 |
| 1255401840 | Jorge A Matos | Dentist | 520 Westfield Ave, Suite 206, Elizabeth, NJ 07208-1658 | 2006-11-09 |
| 1053418459 | Manish S Patel | Internal Medicine | 520 Westfield Ave, Suite 306, Elizabeth, NJ 07208-1658 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225591571 | Real House Inc | Clinic/Center | 419-421 Westminster Ave, Elizabeth, NJ 07208 | 2019-04-12 |
| 1548736531 | Conscientiamd | Psychiatry & Neurology | 650-652 Newark Avenue, 1st Floor, Elizabeth, NJ 07208 | 2018-10-17 |
| 1093292492 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Road, Ground Floor, Elizabeth, NJ 07208 | 2018-07-27 |
| 1457736092 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Rd, Elizabeth, NJ 07208 | 2015-07-24 |
| 1811318595 | Terrell N Alston | Social Worker | 644 Salem Ave 2b, Elizabeth, NJ 07208 | 2013-12-23 |
| 1316220759 | Anarita Delacruz | Massage Therapist | 570 North Broad Street, Suite 10, Elizabeth, NJ 07208 | 2011-09-22 |
| 1972820041 | Pain Center of Morris | Chiropractor | 332 Morris Ave., Elizabeth, NJ 07208 | 2010-04-28 |
| 1760696512 | Elizabeth Public Schools | Local Education Agency (LEA) | 27 Prince Street, 2nd. Floor, Elizabeth, NJ 07208 | 2007-05-10 |
| 1437288339 | Kathleen E. Russo | Social Worker | Jewish Family Services, 655 Westfield Ave., Elizabeth, NJ 07208 | 2007-03-05 |
| 1649337171 | Springfield Pediatrics, P.a. | Pediatrics | 435 Elmora Avenue, Elizabeth, NJ 07208 | 2007-01-03 |
| Find all providers in zip 07208 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911505 | Noble Care LLC | Nurse Practitioner | 333 N Broad St Ste 204, Elizabeth, NJ 07208-3706 | 2020-08-07 |
| 1184266983 | Christine Lisa | Nurse Practitioner | 650 Newark Ave Fl 1, Elizabeth, NJ 07208-3589 | 2019-10-13 |
| 1740762996 | Chukwudi Orji | Nurse Practitioner | 333 N Broad St Ste 205, Elizabeth, NJ 07208-3706 | 2018-09-04 |
| 1194030338 | Simbiat Oladiran-adighije | Nurse Practitioner | 614 Pennsylvania Avenue, 1st Floor, Elizabeth, NJ 07201 | 2010-08-12 |
| 1871137356 | Shirley Messina | Nurse Practitioner | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2019-10-29 |
| 1447725395 | Maureen Ndu | Nurse Practitioner | 333 N Broad St Ste 205, Elizabeth, NJ 07208 | 2018-10-08 |
| 1942785324 | Precious Medical Care LLC | Nurse Practitioner | 288 N Broad St, Elizabeth, NJ 07208-3711 | 2018-10-01 |
| 1699280099 | Sylvana J Garcia-morales | Nurse Practitioner | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2017-12-07 |
| 1609388222 | Olufunmilayo Abimbola Adesanlu | Nurse Practitioner | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2017-11-05 |
| 1396068722 | Andrea Krasno | Nurse Practitioner | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2010-03-12 |
| Find all providers in ELIZABETH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.